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[Intestinal invagination in adulthood].

J J Reiter, H Gai, G Ehrlich

    Der Chirurg; Zeitschrift Fur Alle Gebiete Der Operativen Medizen
    |February 1, 1984
    PubMed
    Summary
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    Adult intussusception is rare and difficult to diagnose due to uncharacteristic symptoms. Neoplasms frequently cause this condition, necessitating surgical resection and highlighting the risks of manual reduction.

    Area of Science:

    • Gastroenterology
    • Surgical Oncology

    Background:

    • Intussusception in adults is an uncommon condition.
    • Symptoms are often nonspecific, complicating early diagnosis.

    Purpose of the Study:

    • To review the challenges in diagnosing and treating adult intussusception.
    • To present findings from a case series, emphasizing etiological factors and outcomes.

    Main Methods:

    • Retrospective analysis of 11 adult intussusception cases.
    • Review of diagnostic modalities including radiologic and endoscopic measures.
    • Surgical resection based on tumor surgery principles.

    Main Results:

    • Neoplasms were identified as the cause in 7 out of 11 cases.
    • Surgical resection was the primary treatment modality.

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  • Complications included perforation risk with manual reduction and mortality from aspiration pneumonia and cerebral hemorrhage.

    • Conclusions:

    • Adult intussusception, often caused by neoplasms, requires surgical intervention.
    • Diagnostic delays are common due to atypical presentations.
    • Attempting manual reduction carries significant risks, and surgical resection is preferred.